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OSWESTRY LOW BACK PAIN DISABILITY REPORT

Report Created On: 08/14/2018Last Evaluated On: 10/25/2008

Patient Name: Sample PatientDate of Birth: NA
Gender: Male

Subjective History: You can enter a brief description of the presenting problem when you create a record for an individual patient. You can also select up to 4 diagnoses for each problem, and use selection lists and checkboxes to indicate whether some specific risk factors for prolonged recovery are present.

Identified risk factors for prolonged recovery:
High initial pain rating.
Current Yellow Flags assessment indicates a high level of risk.

Primary Diagnosis: 847.2-Lumbar Sprain/Strain

Visual Analog Scale (VAS) Pain Intensity (0-10 scale)
:

Evaluation Date

Pain Rating

12/01/2003

8

OSWESTRY EVALUATION RESULTS

Evaluation Date

Score (Impairment)

Improvement

03/14/2003

50% (Severe)

03/19/2003

30% (Moderate)

11/10/2005

10% (Mild)

10/25/2008

18% (Mild)

Change since previous evaluation

-8%

Overall change

32%

Score represents % disability in activities of daily living (ADL). Shifts of 10% or more in either direction are required to represent a significant change in the patient's condition. If the score does not improve by at least 10% (absolute change) in any two successive two-week periods, a change in management should be considered.

Current Profile: Descriptive statements endorsed by the patient.

Pain - The pain is mild and does not vary much.

Lifting - I can lift heavy weights, but it causes extra pain.

Sitting - I can only sit in my favorite chair as long as I like.

Personal care - I do not normally change my way of washing or dressing even though it causes some pain.

Walking - Pain prevents me from walking more than one mile.

Standing - I have some pain while standing, but it does not increase with time.

Sleeping - I get pain in bed, but it does not prevent me from sleeping well.

Traveling - I get some pain while traveling, but none of my usual forms of travel make it any worse.

Interpretation:
The patient's current VAS pain rating is more than 10% above the norm of zero (0). However, the patient is reporting a minimal level of impairment in activities of daily living as a result of pain. The present complaint is having a relatively low impact on the patient's functioning and quality of life. If the patient has a sedentary occupation, he or she may experience more problems than others.

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